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Handicap Form for Dmv Az 2018
Of the Disability Placard(s) or Plates that are issued to me.
Name of person with disability (first, middle, last) – please print
Date of Birth
Arizona ID or Driver License #
Arizona Street Address (required)
City
State
Zip Code
Mailing Address (if different from above)
City
State
Zip Code
Daytime Phone Number
Email (optional)
(
)
Complete the information below, only if requesting a disability license plate. The vehicle must be owned or leased by the
person with a disability or...
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